Coastal Carolinas Integrated Medicine Ii in North Myrtle Beach, SC

Coastal Carolinas Integrated Medicine Ii is a medicare enrolled primary clinic (Nurse Practitioner - Family) in North Myrtle Beach, South Carolina. The current practice location for Coastal Carolinas Integrated Medicine Ii is 416 Main St, North Myrtle Beach, South Carolina. For appointments, you can reach them via phone at (843) 663-0933. The mailing address for Coastal Carolinas Integrated Medicine Ii is Po Box 4563, North Myrtle Beach, South Carolina and phone number is (843) 663-0933.

Coastal Carolinas Integrated Medicine Ii is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1255158788. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (843) 663-0933.

Contact Information

	Coastal Carolinas Integrated Medicine Ii
	416 Main St North Myrtle Beach SC 29582-3024
	(843) 663-0933
	(843) 663-0936

Map and Direction

Primary Care Clinic Profile

Full Name	Coastal Carolinas Integrated Medicine Ii
Speciality	Nurse Practitioner
Location	416 Main St, North Myrtle Beach, South Carolina
Authorized Official Name and Position	La Bommie Saunders (CREDENTIALING AND BILLING REP)
Authorized Official Contact	9106165770
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Coastal Carolinas Integrated Medicine Ii Po Box 4563 North Myrtle Beach SC 29597-4563 Ph: (843) 663-0933	Coastal Carolinas Integrated Medicine Ii 416 Main St North Myrtle Beach SC 29582-3024 Ph: (843) 663-0933

NPI Details:

NPI Number	1255158788
Provider Enumeration Date	09/25/2024
Last Update Date	09/25/2024

Medicare PECOS Information:

Medicare PECOS PAC ID	6002357365
Medicare Enrollment ID	O20240926001640

Medical Identifiers

Medical identifiers for Coastal Carolinas Integrated Medicine Ii such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1255158788	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
261QP2300X	Clinic/center - Primary Care	(* (Not Available))	Secondary
363LF0000X	Nurse Practitioner - Family	(* (Not Available))	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Coastal Carolinas Integrated Medicine Ii acts as a billing entity for following providers:

Provider Name	Carleen Willeford
Provider Type	Practitioner - Nurse Practitioner
Provider Identifiers	NPI Number: 1164641908 PECOS PAC ID: 6103879309 Enrollment ID: I20240926001814

Reviews and Comments

Nurse Practitioner in North Myrtle Beach, SC

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Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1120 2nd Ave S # B, North Myrtle Beach, SC 29582 Phone: 864-501-0751
North Myrtle Beach Internal Medicine Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2021 N Myrtle Point Blvd, Suite 101, North Myrtle Beach, SC 29582 Phone: 843-663-2100 Fax: 843-663-2102
Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 702 6th Ave S, North Myrtle Beach, SC 29582 Phone: 843-249-5433
Palms Health & Wellness Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 800 25th Ave S Ste 12&13, North Myrtle Beach, SC 29582 Phone: 843-256-6721 Fax: 843-900-2200

Coastal Carolinas Integrated Medicine Ii - Medicare Primary Care in North Myrtle Beach, SC